Pursuant to the authority of Iowa Code Section 249A.4, the Iowa Department of Human Services (DHS) intends to renew the Home and Community Based services (HCBS) Physical Disability (PD) and Health and Disability (HD) waivers. This notice provides details about the waiver renewal and serves to open the 30-day public comment period which closes on June 11, 2022. 


The Centers for Medicare and Medicaid Services (CMS) authorizes 1915(c) HCBS Waivers for a period of five years.  Both the PD and HD waivers are up for renewal in 2022. The PD and HD Waiver renewal applications do not include any substantive changes to the currently approved waivers. The renewal applications do reflect updated language and references in several sections.

  • Making technical corrections including:
    • Changing Iowa Medicaid Enterprise and IME to Iowa Medicaid
    • Changing ISIS to IoWANS
    • Updating the address and contact information for Iowa Medicaid
    • Removing language that is now outdated
    • Adding and updating IAC references
  • Reducing the unduplicated number of members approved under the waiver and the number of members at any point in time to align with actual experience

Fiscal Impact:

There is no fiscal impact related to the changes proposed in the HCBS PD or HD Waiver Renewals.

Public Review and Comments

A copy of the PD and HD waiver renewals and this public notice are available at: https://dhs.iowa.gov/public-notices/HCBS_PD_HD_Waiver. To reach all stakeholders, non-electronic copies will be made available for review at the DHS Field Offices.

Prior to finalizing, DHS will consider all written comments received.  The comments will be summarized and addressed in the final renewal application submitted to CMS.

Written comments concerning this notice, or the proposed renewals, may be addressed to: Brian Wines, LTSS Policy Specialist, Iowa Department of Human Services, Iowa Medicaid, 1305 East Walnut, Des Moines, Iowa 50309 or via email at or via email at bwines@dhs.state.ia.us.

Please indicate PD and/or HD Waiver Renewal in the subject line of the email. Written and e-mailed comments must be received within 30 days from the issuance of this notice.  All comments must be received by: June 11, 2022 at 4:30 PM.


IA 002.08.00 HD Waiver Renewal
IA 001.05.00 PD Waiver Renewal
HD and PD Waiver Renewal Public Notice

Submitted by:

Elizabeth Matney,

Medicaid Director

Iowa Department of Human Services